In connection with operations on the lower extremities, in the perineum, for vascular surgery, for labour (cesarean section) and for abdominal surgery more than 800 patients were given lumbar epidural anesthesia with plain bupivacaine 0.5% and 100 patients with 0.75% bupivacaine without adrenaline. In one case we observed the dramatic complication of a… (More)

In 868 cases the identification of the epidural space was performed by plugging a running infusion drip. After accurate identification of the epidural space the patient received either 0.5% or 0.75% bupivacaine without adrenalin for operations on the lower extremities, at the perineum and for lower and upper abdominal surgery. Analgesia was adequate . The… (More)

The modified combined plunger pressure and manometer method (KSMM = Kombinierte Stempeldruck-Manometer-Methode) has proved to be a satisfactory alternative to the loss of resistance technique of Dogliotti. The method was tested for practicability and successful identification of the epidural space in 200 patients (80 of them pregnant) by physicians at… (More)